In their interesting study Griffiths et al.
1
raised the question of whether recurrent basal cell carcinomas (BCCs) after complete
excision could in part be new neoplasms. On one hand there is the possibility of a
true local recurrence due to continued growth of remnants of the tumour. On the other
hand a second primary may grow near the scar of the first excision in an area of field
change, thus simulating recurrence. The authors emphasise the importance of the size
of the clearance margins and argue that with resection margins greater than 2 mm of the primary neoplasia, the ‘recurrent’ lesion is more likely to be a new independent
tumour.To read this article in full you will need to make a payment
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References
- Do basal cell carcinomas recur after complete conventional surgical excision?.Br J Plast Surg. 2005; 58: 795-805
- Do plastic surgeons resect basal cell carcinomas too widely? A prospective study comparing surgical and histological margins.Br J Plast Surg. 2002; 55: 293-297
- The stromal reaction in basal cell carcinomas. A prerequisite for tumour progression and treatment strategy.Br J Plast Surg. 2004; 57: 429-439
- Parameters derived from the fast Fourier Transform are predictive for the recurrence of basal cell carcinoma.Cell Oncol. 2005; 27: 137
Article info
Publication history
Published online: January 22, 2007
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
